Date of Conferral

2022

Degree

Ph.D.

School

Nursing

Advisor

Mattie Burton,

Abstract

Health systems in the United States face a growing shortage of nurses to provide care, including home health agencies looking for approaches to improve retention and reduce attrition. The work environment across all health delivery systems plays a critical role in nurse retention. Studies show increased attrition when nurses perceive their work environment as hostile. This quantitative correlational study guided Watson’s theory of human caring. It explored the relationship between home health nurses’ perceptions of their work environment and their intent to stay in their current position. Archival data from a convenience sample obtained from an extensive multistate multiservice health system’s 2021 survey of employees who work in home health care were selected for this study. The sample included 620 home health nurses; however, the final sample after removal of those not meeting inclusion criteria was 366 home health nurses. Anonymized data were analyzed using binomial logistic regression analysis. Results of the study indicated employee engagement (p =.011) and work-life balance (p = .001) were statistically significant predictors of nurses’ intent to stay in their current jobs. The findings of this study may promote positive social change as health systems facilitate effective strategic retention programs. Work-life balance and employee engagement should be investigated, as both are significant predictors of intent to stay.

Included in

Nursing Commons

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